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1.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2018; 28 (7): 776-778
in English | IMEMR | ID: emr-198805

ABSTRACT

Objective: To analyse the epidemiological characteristics, clinical presentations, and histopathological as well as immunological characteristics of squamous cell carcinoma [SCC] of breast. Study Design: A descriptive study. Place and Duration of Study: Combined Military Hospital, Rawalpindi, from January 1997 to January 2017


Methodology: Data of all patients, diagnosed as squamous cell carcinoma of breast over defined period of time, were collected and analysed with respect to their clinical presentation, histopathology and receptor status. Year-wise cases of SCC of breast were separated


Results: Thirty patients, diagnosed as squamous cell carcinoma of breast, were identified over a period of 20 years. There was an increase in number of cases diagnosed after 2007 as compared to before 2007. Moreover, 12 [40%] cases were hormone receptor positive while 18 [60%] were of unknown status. Out of the total, 10 [33%] cases were well differentiated, 17 [57%] were moderately differentiated, while 3 [10%] were poorly differentiated. Seventeen [57%] cases presented as breast masses, 10 [33%] had skin ulceration in addition to breast mass, while 3 [10%] cases presented as fungating masses along with chest wall involvement


Conclusion: There is an increased incidence of SCC of breast which can be due to better diagnostic facilities and more awareness amongst doctors about different varieties of breast cancers and their impact on the prognosis of disease

2.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2018; 28 (10): 776-778
in English | IMEMR | ID: emr-199821

ABSTRACT

Objective: To analyse the epidemiological characteristics, clinical presentations, and histopathological as well as immunological characteristics of squamous cell carcinoma [SCC] of breast


Study Design: A descriptive study


Place and Duration of Study: Combined Military Hospital, Rawalpindi, from January 1997 to January 2017


Methodology: Data of all patients, diagnosed as squamous cell carcinoma of breast over defined period of time, were collected and analysed with respect to their clinical presentation, histopathology and receptor status. Year-wise cases of SCC of breast were separated


Results: Thirty patients, diagnosed as squamous cell carcinoma of breast, were identified over a period of 20 years. There was an increase in number of cases diagnosed after 2007 as compared to before 2007. Moreover, 12 [40%] cases were hormone receptor positive while 18 [60%] were of unknown status. Out of the total, 10 [33%] cases were well differentiated, 17 [57%] were moderately differentiated, while 3 [10%] were poorly differentiated. Seventeen [57%] cases presented as breast masses, 10 [33%] had skin ulceration in addition to breast mass, while 3 [10%] cases presented as fungating masses along with chest wall involvement


Conclusion: There is an increased incidence of SCC of breast which can be due to better diagnostic facilities and more awareness amongst doctors about different varieties of breast cancers and their impact on the prognosis of disease

3.
PAFMJ-Pakistan Armed Forces Medical Journal. 2018; 68 (5): 1358-1361
in English | IMEMR | ID: emr-206473

ABSTRACT

Objective: Evaluation of single preoperative dose of pregabalin in terms of postoperative pain after laparoscopic cholecystectomy


Study Design: Randomized controlled trial [RCT]


Place and Duration of Study: Study was conducted in Surgical Department of Military Hospital Rawalpindi over a period of one year fromJan 2013 to Dec 2013


Material and Methods: One hundred patients [50 in each group] were included in this study. They were divided into two groups. Group-A was given pregabalin and group-B was given placeboafter laparoscopic cholecystectomy


Results: Mean age was 38.2 +/- 11.0 years in group A and 36.9 +/- 11.7 years in group B. Regarding distribution of gender, 14 patients [28.0 Percent] in group-A and 17 patients [34.0 Percent] in group-B were males while 36 patients [72.0 Percent] in group-A and 33 patients [66.0 Percent] in group-B were females. Mean visual analogue score at 24 hours was 4.98 +/- 1.87 and 6.58 +/- 2.03 in group-A and B, respectively. The difference between two group was statistically significant [p<0.001]. Analgesia was required in 17 patients [34.0 Percent] in group-A and 37 patients of group-B


Conclusion: A single preoperative oral dose of pregabalin 150 mg was found very effective method for reducing postoperative pain in patients undergoing laparoscopic cholecystectomy

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